| NPI | 1639499932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GARY CHANEY Nurse Practitioner 225-928-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA AP06115) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |